Permit iiiq CITY OF TIGARD MASTER PERMIT
6 COMMUNITY DEVELOPMENT Permit#: MST2021-00454
Date Issued: 10/28/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109A605400
Jurisdiction: Tigard
Site address: 14323 SW 133RD AVE
Subdivision: THREE MOUNTAINS ESTATES Lot: 47
Project: Heineck
Project Description: Rooftop Solar PV 11.2 kW
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $6,227.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units.
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp 0 W/Svc or Fdr: 0
Ea add.'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: Y Other Description: Roof Top Solar PV System 11.2 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
HEINECK,DAVID W&GIUSEPPA BRS FIELD OPS LLC Required Items and Reports(Conditions)
REVOCABLE LIVING TRUST 1403 NORTH RESEARCH WAY
14323 SW 133RD AVE OREM,UT 84097
TIGARD,OR 97224
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $362.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
r
Building Permit Application_
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard OCT 18 2021 'Receivedr WL/6 y.
/0
2/ �� Permit No.: ���
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 111 Phone: 503.718.2439 Fax: 503.598.19 Date/By: ' 1 Other Permit
CITY OF TIGARG y d Z
TIGAltl Inspection Line: 503.639.4175 Date Ready/By: Juris. ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION .fled/Metho /� 116,1Supplemental Information
TYPE OF WORK RE U D DA A:1-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Q Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
•
�1-and 2-family dwellingValuation: $ 6227.20
❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
j tV► JOB SITE INFORMATION AND LOCATION Total number of floors:
1
II Job site address: 14323 SW 133rd Ave,Tigard,Oregon,97224 New dwelling area: square feet
,t City/State/ZIP: Garage/carport area: square feet
f', Suite/bldg./apt.no.: Project name: David Heineck Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
1 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
`i Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
pit m. DESCRIPTION OF WORK work indicated on this application.
Rooftop Solar PV t I . 2 )(AViim' Valuation: $
) Existing building area: square feet
New building area: square feet
10 PROPERTY OWNER ❑ TENANT Number of stories:
Name: David Heineck Type of construction:
Address: 14323 SW 133rd Ave,Tigard,Oregon,97224
[ Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT lei CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Jeffrey Lee
Address: 1403 N Research Way FLS plan review fee(if applicable):
City/State/ZIP: Orem,UT 84097 Total fees due upon application:
Amount received:
Phone:( 385)482-0045 Fax: :( )
E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: BRS Field Ops,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
I Address: 1403 N Research Way Solar Installation Specialty Code checklist.
City/State/ZIP: Orem,UT 84097 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 385)482-0045 Fax:( )
State surcharge(12%of permit fee): S21.60
CCB lic.: 227185
Total fee due upon application: $201.60
Authorized signature: i// , This permit application expires if a permit is not obtained
/ / • 4i within 180 days after it has been accepted as complete.
Print name: Jeffrey L e Date: 10/08/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
Received i
City of Tigard RECEIVED Date/By: Permit#: Ms�lpr-�-�4b
111
' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 IX 1 1 8
1021 Date/By: Related Permit a:
Inspection Line: 503.639.4175 Ready Date/By: Juris: I ® See Page 2 for
1 I t.''t l'I) Internet: www.tigard-or.gov CITY OF TIGARS Notified/Method: Supplemental Information
V f 1 f
TYPE OF `DING Nis PLAN REVIEW
❑New construction 0 Addition/alteration/replace ��N Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 14323 SW 133rd Ave,Tigard,Oregon,97224 100HP or more. ❑"A","E", '1-2","1-3",
O Six or more residential units. occupancy.
City/State/ZIP:
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: David Heineck ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qtr. I Each ITotal i *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 I
DESCRI TIOrc O i °# A :46 Limited energy,residential
Rooftop Solar PV
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
x ,r � ee t §r e r+$ sx:< R. g
?®.PROPER ' r,1�1�E�2 �t, A. €+t„( �rJ:1,'+I},3# t" Services or feeders installation,alteration,and/or relocation
Name: David Heineck 200 amps or less 100.70 2
Address: 14323 SW 133rd Ave,Tigard,Oregon,97224 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
APPLICANTBranch circuits—new,alteration,or extension,per panel
0Ell ;CONTACT PERSON. A.Fee for branch circuits with
Business name: BRS Field Ops,LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name: Jeffrey Lee B.Fee for branch circuits without
1403 N Research Wayservice or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Orem,UT 84097 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385)482-0045 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ID See Page 2 2
Address: 1403 N Research Way panel,alteration,or extension.
City/State/ZIP: Orem,UT 84097 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( 385)482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Permitting.department@blueravensolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical L'c.: C1493 . Suprv.Lic.: 6394S specifically listed(A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: i ( Subtotal:
Print name: Shan Whittaker Date: 10/08/2021 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: # TOTAL PERMIT FEE:
/ This permit application expires if a permit is not obtained within 180
Print name: Jeffrey Le // Date: 10/08/2021 days alter it has been accepted as complete.
* Number of inspections allowed per permit.
I:i Building Permits',El C_PennitApp ELR_ER Edoc Rev06/17/2015 440-4615T(I I/05/COM/WEB
Electrical Permit Application —City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description 1 Qty. 1 Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 1 133.56 2
Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n G• arage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
F. Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal per permnter t.o Page 1):
3' * Number of inspections allowed permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n B• oiler Controls
n Clock Systems
n Data Telecommunication Installation
n F• ire Alarm Installation
n HVAC
n Instrumentation
Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building`.Permits\ELC_PermitApp_ELR_ERE.doc Re%06/17/2015
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